Thalassaemia

D3_THALASSAEMIA

Thalassemia: An inherited blood disorder characterized by a decreased synthesis of one of the polypeptide chains that form hemoglobin. Anemia results from this abnormal hemoglobin formation.

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Endpoint definition

Report an error or suggest an improvement for this endpoint codes

Endpoint definition steps

FinnGen

Phenotype data

557745

1. Apply sex-specific rule

None

557745

2. Check conditions

None

557745

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 D56
  • Cause of death: ICD-10 D56

2 out of 7 registries used, show all original rules.

-

4. Check minimum number of events

None

-

5. Include endpoints

161

6. Filter based on genotype QC (FinnGen only)

53

Control definitions (FinnGen only)

Control exclude
D3_HAEMOLYTICANAEMIA

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
D55-D59
Name in latin
Thalassaemia

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 2202 1071 915
Only index persons 1582 880 702
Unadjusted period prevalence (%)
Whole population 0.05 0.03 0.03
Only index persons 0.03 0.03 0.03
Median age at first event (years)
Whole population 22.71 25.67 17.00
Only index persons 28.37 29.61 26.82

-FinnGen-

Key figures

All Female Male
Number of individuals 53 27 26
Unadjusted period prevalence (%) 0.01 0.01 0.01
Median age at first event (years) 51.80 52.29 51.29

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
145
Matched controls
1450
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
D56.0
ICD-10 Finland
Alpha thalassaemia
+∞
52.3
47
*
D56.3
ICD-10 Finland
Thalassaemia trait
+∞
42.9
39
*
D56.99
ICD-10 Finland
Thalassaemia, unspecified
+∞
37.1
34
*
D56.1
ICD-10 Finland
Beta thalassaemia
+∞
31.4
29
*
D56.91
ICD-10 Finland
Thalassemia minor
+∞
29.1
27
*
Z31.5
ICD-10 Finland
Genetic counselling
7.5
20.0
33
55
D64.9
ICD-10 Finland
Anaemia, unspecified
5.9
14.8
30
61
D56.2
ICD-10 Finland
Delta-beta thalassaemia
+∞
13.8
13
*
D50.9
ICD-10 Finland
Iron deficiency anaemia, unspecified
6.2
13.3
25
47
D56
ICD-10 Finland
Thalassaemia
+∞
11.6
11
*
O99.0
ICD-10 Finland
Anaemia complicating pregnancy, childbirth and the puerperium
19.8
11.0
16
9
R5430
NOMESCO Finland
Interpreter's services
59.1
9.8
11
*
D01
ICPC
Abdominal pain/cramps general
3.4
8.6
38
138
O99.1
ICD-10 Finland
Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium
95.4
8.5
9
*
D50.8
ICD-10 Finland
Other iron deficiency anaemias
35.5
8.2
10
*
D56.8
ICD-10 Finland
Other thalassaemias
+∞
7.3
7
*
Z04.8
ICD-10 Finland
Examination and observation for other specified reasons
3.4
6.8
27
91
JN1AE
NOMESCO Finland
Ultrasound examination of upper part of abdomen
3.9
6.7
21
60
D02
ICPC
Abdominal pain epigastric
4.5
6.6
17
42
A02BD07
ATC
lansoprazole, amoxicillin and clarithromycin; systemic
6.8
6.4
15
24

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
60
120
7.82
31.79
12.1
3.6
1.67
1.72
%
0.15
53
110
61
180
5.12
20.20
2.8
2.5
2.31
2.35
g/l
0.23
56
168
64
199
4.97
19.82
2.8
2.5
15.07
13.89
umol/l
0.41
57
189
82
326
4.49
18.12
3.1
2.1
3.47
2.65
mg/l
2.09
71
283
39
92
5.43
16.48
12.3
3.3
86.20
70.04
e9/l
1.45
29
65
70
305
3.50
12.45
9.2
5.2
84.64
91.51
%
1.42
70
300
113
673
4.08
12.06
9.6
3.1
115.94
85.37
ug/l
1.28
108
637
84
420
3.38
11.78
15.4
7.3
—
—
—
0
0
23
51
5.17
10.19
1.8
1.7
57.57
9.73
u/ml
—
8
10
28
74
4.45
10.06
1.9
1.2
—
—
—
0
0
16
14
12.68
9.33
1.6
1.3
—
—
—
0
0
83
466
2.83
8.64
2.2
1.9
102.33
96.11
pmol/l
0.68
51
240
41
157
3.25
8.55
1.9
1.6
1023.93
1162.98
nmol/l
0.36
28
123
97
604
2.83
8.05
11.8
7.1
15.12
12.28
umol/l
0.76
92
581
100
659
2.67
6.98
14.9
7.2
0.04
0.04
e9/l
0.10
85
562
100
661
2.65
6.91
14.9
7.1
0.55
0.56
e9/l
0.17
85
565
107
735
2.74
6.76
18.8
10.2
4.05
4.16
e9/l
0.16
87
644
101
677
2.62
6.67
16.5
7.7
0.15
0.19
e9/l
1.67
88
598
101
682
2.58
6.49
14.8
7.1
2.01
2.02
e9/l
0.05
89
605
16
28
6.28
6.36
1.1
1.0
—
—
—
0
0
76
468
2.31
5.77
6.0
4.5
17.55
40.24
e6/l
1.06
44
317
26
96
3.08
5.63
20.0
12.5
25.45
24.97
mmol/l
0.26
26
96
59
330
2.33
5.57
4.6
3.5
—
—
estimate
—
0
0
77
482
2.27
5.56
12.8
8.9
1.21
1.22
mmol/l
0.28
72
455
48
246
2.42
5.51
2.1
1.5
—
—
—
0
0
59
334
2.29
5.38
4.7
3.5
0.38
0.39
e6/l
0.02
37
249
39
184
2.53
5.33
4.3
3.7
1.71
2.97
e6/l
0.75
14
95
89
602
2.24
5.20
20.0
11.2
0.07
0.00
e9/l
0.53
70
479
67
406
2.21
5.13
8.0
2.4
—
—
—
0
0
81
533
2.18
5.00
13.9
8.9
1.21
1.21
mmol/l
0.06
71
466
14
30
5.05
4.83
1.1
1.0
—
—
—
0
0
54
306
2.22
4.82
1.5
1.6
20.90
21.24
nmol/l
0.06
47
270
63
391
2.08
4.38
4.6
3.6
15.83
40.20
e6/l
0.91
41
304
32
154
2.38
4.12
1.9
1.5
—
—
—
0
0
47
267
2.12
4.08
6.0
2.4
1.16
1.16
mg/l
0.00
32
201
50
291
2.10
4.07
5.7
4.5
—
—
—
0
0
70
465
1.98
3.93
2.5
2.2
—
—
—
0
0
16
55
3.15
3.87
1.4
1.3
—
—
—
0
0
24
104
2.57
3.85
20.6
13.3
—
—
—
0
0
69
459
1.96
3.83
9.4
6.1
36.64
36.37
g/l
0.13
64
442
61
390
1.97
3.79
16.4
6.1
—
—
—
0
0
59
379
1.94
3.57
2.4
1.8
—
—
—
0
0
11
27
4.32
3.47
7.1
6.3
70.46
63.46
%
0.36
11
27
28
138
2.28
3.40
11.2
9.7
105.29
104.51
mmol/l
0.44
28
138
82
595
1.87
3.36
7.6
3.0
—
—
estimate
—
0
0
10
24
4.39
3.26
1.2
1.1
—
—
—
0
0
13
44
3.15
3.23
1.2
1.7
—
—
—
0
0
89
668
1.86
3.22
8.8
6.2
6.45
6.29
mmol/l
0.35
80
610
52
330
1.90
3.21
6.6
3.9
7.41
7.40
ph
0.79
37
237
19
81
2.55
3.14
1.4
1.9
—
—
—
0
0
40
234
1.98
3.12
3.6
2.8
612.26
538.84
mosm/kgh2o
1.17
35
207
67
466
1.81
3.06
1.9
1.7
—
—
—
0
0
7
12
6.07
3.06
1.1
1.0
—
—
—
0
0
23
111
2.27
2.92
9.7
14.0
7.42
7.42
ph
0.16
13
60
6
9
6.89
2.89
1.2
1.0
—
—
—
0
0
6
9
6.89
2.89
1.3
2.1
—
—
—
0
0
12
39
3.26
2.85
1.3
1.7
144.00
136.37
au/ml
—
5
14
8
18
4.64
2.84
3.4
1.7
—
—
—
0
0
8
18
4.64
2.84
3.4
1.7
—
—
—
0
0
8
18
4.64
2.84
3.4
1.7
—
—
—
0
0
8
18
4.64
2.84
3.4
1.7
—
—
—
0
0
137
1236
2.96
2.83
23.6
14.1
22.73
22.21
mg/l
0.06
117
980
5
6
8.57
2.77
3.2
1.5
1.80
0.83
index
—
5
6
19
87
2.36
2.71
1.7
1.6
—
—
—
0
0
7
15
4.84
2.63
9.6
7.1
12.30
11.91
%
—
7
15
18
84
2.30
2.47
1.7
1.5
—
—
—
0
0
40
259
1.75
2.22
3.5
3.2
352.61
335.01
umol/l
0.47
33
238
11
42
2.75
2.20
1.4
1.4
—
98.57
—
0
7
114
979
1.77
2.10
5.5
4.3
14.50
14.64
pmol/l
0.21
108
906
12
50
2.53
2.08
7.7
5.0
1.20
1.53
%
0.47
12
50
23
128
1.95
2.04
1.3
1.2
—
—
—
0
0
50
352
1.64
2.03
2.1
1.5
2.24
2.16
g/l
0.12
25
216
12
51
2.48
2.01
7.7
4.9
0.63
0.62
%
0.01
12
51
23
130
1.91
1.96
2.2
1.6
—
—
—
0
0
5
11
4.66
1.95
12.0
4.1
27.34
36.97
%
—
5
11
16
80
2.12
1.88
23.8
8.7
24.56
24.27
mmol/l
0.18
16
80
6
17
3.63
1.85
2.5
1.9
—
—
—
0
0
9
35
2.67
1.83
1.2
1.3
—
—
—
0
0
12
54
2.33
1.79
3.7
14.0
—
—
—
0
0
54
398
1.57
1.78
4.6
3.1
—
0.29
—
0
7
18
97
1.98
1.75
1.9
2.0
—
—
—
0
0
41
284
1.62
1.75
5.6
4.0
18.51
14.04
mg/mmol
0.15
28
187
40
280
1.59
1.63
4.6
3.4
120.91
96.95
mg/l
0.13
29
187
5
14
3.66
1.63
1.0
1.3
—
—
—
0
0
7
26
2.78
1.60
1.0
1.0
—
—
—
0
0
6
20
3.08
1.60
1.3
1.2
—
—
—
0
0
70
557
1.50
1.59
4.5
3.4
6.33
6.26
ph
0.21
30
303
5
15
3.41
1.53
1.0
1.3
—
—
—
0
0
126
1146
1.76
1.49
6.5
5.1
1.86
1.82
mu/l
0.13
121
1081
6
22
2.80
1.45
2.5
2.7
17.67
15.78
%
—
6
22
13
67
2.03
1.43
4.5
7.4
—
—
—
0
0
26
170
1.65
1.38
1.9
2.2
—
—
—
0
0
14
76
1.93
1.35
1.5
1.2
—
—
—
0
0
15
85
1.85
1.28
1.4
1.4
219.28
273.90
miu/ml
—
9
44
82
692
1.43
1.28
4.7
4.0
0.00
0.00
estimate
-0.00
13
149
20
125
1.70
1.26
2.7
1.4
—
—
—
0
0
81
685
1.41
1.23
4.6
3.9
0.00
0.00
estimate
-0.00
15
153
34
244
1.51
1.23
1.7
1.3
15.11
29.74
iu/ml
—
9
67
5
19
2.69
1.22
1.2
1.2
—
—
—
0
0
6
26
2.36
1.20
1.5
1.4
—
—
—
0
0
80
678
1.40
1.19
4.7
3.9
0.00
0.00
estimate
-0.00
15
156
57
457
1.41
1.16
22.8
9.8
1.32
1.15
inr
1.31
48
382
13
73
1.86
1.15
1.3
1.2
—
—
—
0
0
54
431
1.40
1.13
2.0
1.8
—
—
—
0
0
8
147
0.52
1.11
1.4
1.3
—
—
—
0
0
5
21
2.43
1.10
2.8
2.1
1.90
1.88
mmol/l
—
5
21
119
1091
1.51
1.08
4.3
4.0
5.84
5.68
mmol/l
0.42
113
1009
40
307
1.42
1.03
3.8
3.4
—
—
—
0
0
5
23
2.21
0.99
5.8
3.5
8.84
8.46
kpa
—
5
23
5
23
2.21
0.99
5.8
3.5
4.78
4.99
kpa
—
5
23
42
329
1.39
0.96
1.8
1.9
—
—
—
0
0
45
358
1.37
0.94
3.6
2.8
—
—
—
0
0
18
119
1.59
0.93
1.1
1.4
—
—
—
0
0
6
29
2.11
0.90
1.0
1.2
—
—
—
0
0
12
72
1.73
0.88
1.8
1.4
—
—
—
0
0
8
48
1.70
0.80
1.3
1.3
—
—
—
0
0
42
510
0.75
0.80
2.8
2.6
—
—
—
0
0
6
34
1.80
0.77
5.0
3.8
7.43
7.41
ph
—
6
34
5
24
2.12
0.75
1.2
2.0
—
—
—
0
0
45
372
1.30
0.72
4.5
3.5
38.58
36.09
ng/l
0.05
32
217
7
41
1.74
0.71
1.9
2.3
—
—
—
0
0
106
1133
0.76
0.70
4.3
4.1
1.35
1.43
mmol/l
1.22
99
1071
5
27
1.88
0.69
1.6
1.2
1.60
4.92
u/ml
—
5
12
5
29
1.75
0.64
1.4
3.1
—
—
—
0
0
28
221
1.33
0.61
1.5
1.3
2.30
5.10
u/ml
1.09
11
89
21
159
1.38
0.59
2.9
2.2
—
—
—
0
0
46
391
1.26
0.59
1.6
1.4
0.43
1.59
u/ml
—
6
97
19
144
1.37
0.54
1.4
1.2
—
—
—
0
0
20
153
1.36
0.54
2.1
1.6
—
—
—
0
0
26
208
1.30
0.53
4.0
3.3
43.51
425.74
ng/l
1.30
16
133
12
84
1.47
0.51
3.0
1.4
11.18
16.33
iu/l
0.34
12
72
39
331
1.24
0.50
3.3
5.3
—
—
—
0
0
109
1147
0.80
0.50
4.8
4.5
2.62
2.73
mmol/l
0.72
102
1083
14
102
1.41
0.49
3.1
1.3
126.94
374.43
u/ml
0.55
14
96
14
102
1.41
0.49
2.1
5.3
0.80
0.65
%
—
5
31
7
47
1.51
0.48
2.1
1.9
—
—
—
0
0
108
1136
0.81
0.48
4.3
4.2
4.40
4.59
mmol/l
1.26
102
1076
98
1039
0.82
0.46
6.5
5.0
38.39
37.54
mmol/mol
0.32
91
986
7
50
1.42
0.45
1.4
1.2
—
—
—
0
0
116
1105
1.25
0.45
36.7
17.5
319.98
333.71
g/l
18.06
116
1100
100
1057
0.83
0.44
3.9
3.6
1.23
1.23
mmol/l
0.02
92
991
24
195
1.28
0.44
2.3
1.7
407.31
66857580.36
pmol/l
0.50
16
175
133
1289
1.38
0.44
18.6
11.4
—
—
—
0
0
0
15
0.00
0.41
0.0
1.0
—
—
—
0
0
0
16
0.00
0.41
0.0
1.3
—
—
—
0
0
5
36
1.40
0.38
3.8
17.2
0.82
0.86
%
—
5
31
6
42
1.45
0.36
1.7
1.1
—
—
—
0
0
23
269
0.83
0.31
1.3
1.7
—
—
—
0
0
8
63
1.29
0.28
2.6
1.3
—
—
—
0
0
9
77
1.18
0.25
2.8
1.9
—
—
—
0
0
0
10
0.00
0.21
0.0
1.1
—
—
—
0
0
0
12
0.00
0.21
0.0
27.3
—
1261.17
—
0
12
0
12
0.00
0.21
0.0
17.7
—
710.33
—
0
12
0
13
0.00
0.21
0.0
1.3
—
—
—
0
0
0
13
0.00
0.21
0.0
1.0
—
129.39
—
0
13
0
14
0.00
0.20
0.0
2.3
—
2.23
—
0
14
47
500
0.91
0.17
4.1
3.6
0.00
0.01
estimate
0.50
13
132
11
93
1.20
0.15
1.8
1.6
—
—
—
0
0
37
396
0.91
0.15
3.7
3.2
0.00
0.00
estimate
-0.00
12
128
16
148
1.09
0.06
1.1
1.2
—
—
—
0
0
11
120
0.91
0.05
3.9
3.9
—
—
—
0
0
35
360
0.96
0.03
3.7
3.9
0.00
0.01
estimate
0.50
14
146
12
121
0.99
0.00
2.0
1.5
—
—
—
0
0
21
206
1.02
0.00
2.0
2.2
55.73
108.44
ug/g
1.27
15
157
12
123
0.97
0.00
2.0
1.5
—
—
—
0
0
28
285
0.98
0.00
3.4
3.6
1.02
1.02
kg/l
0.46
12
192
11
112
0.98
0.00
2.0
1.6
—
—
—
0
0
12
122
0.98
0.00
2.1
1.5
—
—
—
0
0
0
6
0.00
0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.3
—
0.00
—
0
6
0
6
0.00
0.00
0.0
2.2
—
151.33
—
0
6
7
69
1.02
0.00
1.0
1.3
—
24.68
—
0
6
0
6
0.00
0.00
0.0
1.2
—
156.00
—
0
6
0
6
0.00
0.00
0.0
5.8
—
44.33
—
0
6
0
6
0.00
0.00
0.0
2.2
—
1865.83
—
0
6
0
5
0.00
-0.00
0.0
3.4
—
20.50
—
0
5
0
9
0.00
-0.00
0.0
2.1
—
68.22
—
0
9
7
75
0.93
-0.00
1.7
2.5
—
17.72
—
0
6
6
67
0.89
-0.00
1.5
2.0
—
—
—
0
0
12
120
1.00
-0.00
2.1
1.6
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
-0.00
0.0
2.3
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.2
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint D3_THALASSAEMIA and mortality.

Females

Parameter HR [95% CI] p-value
D3_THALASSAEMIA 1.665 [1.07, 2.6] 0.025
Birth year 0.996 [0.99, 1.0] 0.362

During the follow-up period (1.1.1998 — 31.12.2019), 55 out of 893 females with D3_THALASSAEMIA died.

Males

Parameter HR [95% CI] p-value
D3_THALASSAEMIA 1.673 [1.12, 2.49] 0.011
Birth year 0.989 [0.98, 1.0] 0.034

During the follow-up period (1.1.1998 — 31.12.2019), 56 out of 775 males with D3_THALASSAEMIA died.

Mortality risk

Mortality risk for people of age

years, who have D3_THALASSAEMIA.

N-year risk Females Males
1 0.131% 0.315%
5 0.927% 2.064%
10 2.551% 5.115%
15 4.743% 9.437%
20 8.614% 16.314%

Relationships between endpoints

Index endpoint: D3_THALASSAEMIA – Thalassaemia

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
rg [CI]
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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